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5 Written questions

5 Matching questions

  1. Herds Important to Dental Surgery: Sedatives
  2. Kava (Piper methysticum) Side Effects
  3. Ginkgo (Ginkgo biloba)
  4. Black Cohosh
  5. Ginseng (American or Asian (Panax) ginseng)
  1. a Dementia, intermittent claudication, peripheral arterial insufficiency, sexual dysfunction
  2. b Increasing stamina, regulating glucose, aphrodisiac
  3. c Discontinue before anesthesia:
    Clove oil
    Ginger
    Chamomile
    Kava
    Passion Flower
    Valerian Root
  4. d Several cases of hepatitis and liver failure
    Watch for symptoms - abdominal pain, jaundice, dark urine
    Headaches, stomach discomfort
  5. e Sedation, euphoric, kava dermopathy (dry, flaking discolored skin), HEPATOTOXICITY

    ethanol, Parkinson's disease, CNS depressants
    Discontinue 24 hours prior to general anesthesia

5 Multiple choice questions

  1. CNS depression and arrhythmia at toxic doses
    Anti-platelet effects may increase bleeding (might want to stop taking it 2 weeks prior to dental procedure)
    -Generally safe
  2. Small ulcers when applied to gums; in large doses or if injected can cause liver failure, CNS and respiratory depression (lethal dose = 3.8 g/kg)
  3. Headache, muscle weakness, water retention, electrolyte imbalance, arrhythmias, heart failure

    Limit use to no more than 6 weeks.
  4. very few, mostly GI
  5. Hypersensitivity especially in people with severe allergies or allergic to daisies, including ragweed. Do not use in patients taking immunosuppressants or with auto-immune dx, HIV, TB

5 True/False questions

  1. St John's Wort (Hypericum perforatum)topically: photosensitivity; oral: can cause mania in patients with bipolar disorder, exacerbate psychosis in schizophrenia, serotonin syndrome in combination with SSRIs; oral: may have MAO-I activity, so avoid tyramine-containing foods (processed meat, red wine, aged cheese, avocados, soy)

          

  2. Glucosamine sulfateosteoarthritis, often in combo with chrondroitin

          

  3. St John's Wort (Hypericum perforatum) Side EffectsUses: depression
    One of the most frequently used herbal supplements

          

  4. Clove OilSeveral cases of hepatitis and liver failure
    Watch for symptoms - abdominal pain, jaundice, dark urine
    Headaches, stomach discomfort

          

  5. Popular Herbal RemediesAvailable without a prescription
    Cheaper
    Self-diagnosis and self-prescribing (control over disease + treatment)
    Perceived to have fewer side effects, no lethal effects
    Lack of health insurance
    Cultural influences
    Other options have not worked
    Strong advertising - enhanced immune function, easy weight loss, etc.
    Perceived as "natural, safer, and healthier"

          

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